Preferred Vendors

Your Sole Source for Healthcare Business Process Services

Part of our strategy for success is to embrace the philosophy and fundamentals of outsourcing. Adaptis has built upon its core services to provide a comprehensive set of services to meet the needs of small to mid-tier health payers.

By concentrating on what we do best and complementing it with other services, we can offer our clients a breadth of services through the outsourcing model.  We have forged strong alliances with companies that offer best-in-class services that are easily combined within our Healthcare Business Process Outsourcing solution offering and managed through our dedicated Account Management team. Multiple services, one point-of-contact – that’s the Adaptis approach.

After all, it’s not about how we work, it’s about how we work together.

Enterprise Platform Partner

TriZetto

Qnxt™ was cited by a global independent research company as a leader for healthcare claims platforms and claims platforms for consumer-directed health and claims platforms with integrated medical management. The service oriented architecture (SOA) applications enable health plans flexibility to reduce costs, improve customer service, increase profitability, expand market share and prepare for government regulations, including HIPAA. Award-winning enterprise applications include the Qnxt product family (Medical, Dental, Case Management, Accounts Receivable, View, and Connect), and the web-based MyHealthBank suite (Transact, Direct, Navigator, and Finance), proven applications and solutions for the rapidly growing consumer-directed healthcare segment. www.TriZetto.com

Preferred Vendors

Alicare Medical Management

An affiliate company of Amalgamated Life, Alicare Medical Management offers clinically based, patient centric health care cost management programs designed to promote both cost savings and patient satisfaction. The company is proud to have received accreditation from the American Accreditation Healthcare Commission/URAC for four of its programs, Health Utilization Management, 24 Hour Nurse Triage and Health Information Services, Case Management and as an Independent Review Organization. For more information, please visit www.alicaremed.com.

Claimsnet

Claimsnet is a recognized innovator in the rapidly growing healthcare clearinghouse industry. Its proprietary technology is used by industry leaders, and gives Claimsnet a competitive advantage through greater flexibility and cost effectiveness. For more information please visit www.claimsnet.com.

CompCare

Adaptis has signed a preferred vendor relationship with Tampa, Florida-based CompCare, an NCQA-accredited, specialty health care company dedicated to integrating behavioral and medical care. As a result of this agreement, Adaptis will expand its current service offerings to include CompCare’s suite of Behavioral Health Benefits Management, Integrated Health Care Management, Substance Abuse Disease Management and ADHD Disease Management offerings. For more information please visit www.compcare.com.

Kaye-Smith

Kaye-Smith, founded in 1987, is a leader in the document outsourcing business. Based in Renton, Washington, the company has 400 employees supporting operations focused in software and manufacturing. Kaye-Smith uses state-of-the-art technology to offer a complete suite of products and services designed to save clients time and money. The Rapsedi (pronounced "Rhapsody") on-line, real-time inventory management system tracks every transaction, provides interactive inventory access and management in addition to cost allocating expenses in real time. Primary manufacturing, storage and fulfillment operations are based in Renton with additional fulfillment and distribution facilities located in key cities across the nation. For more information please visit www.KayeSmith.com.

Maxor

Since 1926, Maxor has grown to meet the challenges of an evolving health care environment. Maxor provides integrated pharmacy services through the following divisions: MaxorPlus, pharmacy benefit management services; Maxor Pharmacies, retail and mail prescription services; Maxor Specialty Pharmacy, chronic injectables and specialty medications; IV Solutions, home infusion therapy services; Maxor Pharmacy Consulting Services, audit, pharmacy operations and benefit consulting; Maxor Pharmacy Management Services, inpatient and outpatient pharmacy management; and Maxor Correctional Healthcare Services, healthcare management services, pharmacy services, consulting and auditing. www.maxor.com

Med Advantage

Med Advantage is one of the largest Credentials Verification Organizations (CVO) in the nation, providing credentialing services to managed care organizations and managed behavioral healthcare organizations in all 50 states, the District of Columbia, and Puerto Rico. With over four years as a leader in the credentialing arena, Med Advantage has established one of the largest national databases with one million medical practitioners and five million verifications. The company currently maintains certification from the National Commission on Quality Assurance (NCQA) and the Utilization Review Accreditation Commission (URAC). For more information, please visit www.med-advantage.com.

Outcomes, Inc.

Outcomes, Inc. was created to assist healthcare organizations, private and government researchers, contract research organizations, and others involved in health outcomes studies and healthcare surveys with collection, verification, and reporting of healthcare data. Quality is inherent in every process including stringent selection criteria for nurse researchers, 16 hours of research education and proficiency testing for every nurse each year, complete over-read of a statistically valid sample to ensure accuracy (i.e., inter-rater reliability testing), random telephone surveys to determine professionalism and on-time arrivals, and satisfaction surveys mailed directly to our clients.) Their technology solutions (powered by ODIS LLC) include design capabilities for adapting data collection tools to electronic medium, scheduling on-site visits, and on-line transmission for faster and more accurate reporting. For more information, please visit www.outcomesinc.com.

Practice Management Alternatives

Practice Management Alternatives is an independent healthcare compliance auditing company with offices in Massachusetts and Washington consulting to community health centers, community mental health centers, regional hospital groups and individual practitioners regarding practice management, accreditation preparation, compliance and documentation, coding and billing for clinical services. The company's founder, Dr. Derek Jansen, provides expertise in the areas of compliance, practice management, billing and coding and healthcare auditing. Dr. Jansen's client list includes health plans, state Medicaid agencies, hospitals, provider groups, professional trade associations and community health centers in both the primary care and mental health fields. www.pmallp.org